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| Plan Name | CROSSROADS COMMUNITY SERVICES INC. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | CROSSROADS COMMUNITY SERVICES INC. |
| Employer identification number (EIN): | 237028868 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | MARGARET WENZEL | 2012-07-17 | ||
| 001 | 2011-01-01 | MARGARET WENZEL | 2012-05-22 | ||
| 001 | 2010-01-01 | MARGARET WENZEL | 2011-07-19 |
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